Is my prescription correct?

[old]

My doctor said I have low T. I was refered to an anti-aging specialist for treatment and prescribed the following.

•Testosterone Cypionate 200mg x 10ml: Take 1ml. per week.
•HCG 11,000: 250units every other day Helps with pituitary function, keeps body making testosterone
•Anastrozole 0.5mg: 1cap every other day Estrogen Blocker
•Glutathione x 30ml: 3ml per week. (10 weeks then discontinue ---mon/wed/fri). Liver Cleanse - ALT and AST are both elevated
•MIC combo: Take 1ml every other day (1/day is option for more aggressive treatment of symptoms). B12 Complex - Energy, weight loss
•Omega: 1 cap in a.m. // 1 cap in p.m. Helps to lower cholesterol
• Optional item: 4 Sermorelin: 500units/night 1st month /// 300units/night each month to follow. Elective medication to raise IGF-1 level - see attached.

This seems a bit much for a first timer. This coming week I have an appointment and plan to ask a lot of questions. What do you all think for a first timer treating low T? Your questions will help me be more informed when talking with my doctor.

 

[ohiostate2827]

where did you go for your anti-aging specialist? Anastrozole i took .5mg on wednesday and another on sunday stuff is strong..some weeks not at all. aromasin is safer on the body. Testosterone Cypionate did 50mg on Mon and 50mg on Thurs. never took the other stuff. i would get 2nd and 3rd opinions

 

[The Matrix]

You getting a huge bill
You.on.a typical.candy cutter protocol from.anti.aging. Glutithione needs to.be done iv not im injection to.be beneficial. Gsh should.be 3-10 grams a week.
I can.only imagine how much this is costing.
I.am.waiting for gh.to cone.next.

Imo its a going to.be a money pit and.not.individualized based.

 

[old]

So it turns out I have a buddy I servered in the Navy with 15 years ago who now works at a T Clinic in Memphis. I shared my blood results and physical and he gave me some advice.

First off he said what I already know...less is more when starting. Take 1ml per week of 180mg Test Cypionate by itself and reduce the dosage until my T levels out. He told me not to take anything else.

At the end of eight weeks I should test the blood again and depending on the results maybe implement HCG if needed and Anastozole. As for the 1 cap of Anastrozole every other day; he said only take it if emotional signs start to appear or acne and then only take half a cap. When his clinic prescribes Anastrozole .5mg they do so in half caps twice a week; once on the day of the Test Cyp and the other three days later. He said the Anastrozole is too strong to take every other day.

Glutathione intra-muscular: He said forget it, like you said Matrix. After I gave him my AST and ALT he said it was normal for a person who drinks. Not to worry about the liver at this time.

Mic Combo B12 and Omega, he said I can take them if I wanted but it's not necessary. A regular multivitamin in the morning and afternoon will do the trick for my current condition.

So, tomorrow I have my apponitment with the doc. I'm going to bring up some of the items you all mentioned as well as my friend in Memphis. Let's see what he has to say and I'll post here on Thursday.

Thanks guy's.

 

[The Matrix]

So it turns out I have a buddy I servered in the Navy with 15 years ago who now works at a T Clinic in Memphis. I shared my blood results and physical and he gave me some advice.

First off he said what I already know...less is more when starting. Take 1ml per week of 180mg Test Cypionate by itself and reduce the dosage until my T levels out. He told me not to take anything else.

At the end of eight weeks I should test the blood again and depending on the results maybe implement HCG if needed and Anastozole. As for the 1 cap of Anastrozole every other day; he said only take it if emotional signs start to appear or acne and then only take half a cap. When his clinic prescribes Anastrozole .5mg they do so in half caps twice a week; once on the day of the Test Cyp and the other three days later. He said the Anastrozole is too strong to take every other day.

Glutathione intra-muscular: He said forget it, like you said Matrix. After I gave him my AST and ALT he said it was normal for a person who drinks. Not to worry about the liver at this time.

Mic Combo B12 and Omega, he said I can take them if I wanted but it's not necessary. A regular multivitamin in the morning and afternoon will do the trick for my current condition.

So, tomorrow I have my apponitment with the doc. I'm going to bring up some of the items you all mentioned as well as my friend in Memphis. Let's see what he has to say and I'll post here on Thursday.

Thanks guy's.

180 mgs is still too much
The problem is starting at a higher dosage you will get spoiled as will your receptor sites.
I would start with testosterone 60 mgs 2 times a week after 5 weeks remeasure T and e2, SHBG then adjust adex from there if needed.
Get e2 stablized for 5-6 weeks then add in HCG 2 times a week 150 ius starting off day before shot. When dealing with HRT I always have the Dr start at 150 ius because the goal is not to increase testosterone by to use lowest dosage to stimulate LH receptors. Use the injection to drive testosterone levels not the HCG. After 3 weeks on HCG then test TT and e2 again on the morning of the shot. This will get you the most accurate approach to HRT in a steady fashion. I use this approach and never failed yet with Dr's

 

[Dath]

180 mgs is still too much
The problem is starting at a higher dosage you will get spoiled as will your receptor sites.
I would start with testosterone 60 mgs 2 times a week after 5 weeks remeasure T and e2, SHBG then adjust adex from there if needed.
Get e2 stablized for 5-6 weeks then add in HCG 2 times a week 150 ius starting off day before shot. When dealing with HRT I always have the Dr start at 150 ius because the goal is not to increase testosterone by to use lowest dosage to stimulate LH receptors. Use the injection to drive testosterone levels not the HCG. After 3 weeks on HCG then test TT and e2 again on the morning of the shot. This will get you the most accurate approach to HRT in a steady fashion. I use this approach and never failed yet with Dr's

How do you know when you need to add HCG? What things do you look for in the blood test?

 

[The Matrix]

How do you know when you need to add HCG? What things do you look for in the blood test?

When e2 and TT are stable for about 4-6 weeks and symptoms have gotten better then I will suggest the Dr to add in HCG.

Going on HCG,T AI is ludicrus since you do not know what variable is doing what.
Less variables to content with the better. The mind set in some medical professionals is just lacking common sense. Majority of time it means more work which antiaging places do not want to do. Just set you on cookie cutter program and out the door you go. Couples Dr I have ran into at conference have even change name of centers from anti aging to wellness. The business actually increased just from a simple name change.

 

[old]

Okay, so my Doc nixed the Glutathione. My Liver ALT is high because I drink, but looked normal.
The MIC with B-12 and the Omega, he said he wasn't real big on, but a lot of his patients like them. He said if I didn't want to take it I didn't have to. Recommended a mulit-vitamin twice a day.

The Test, HCG and Anastrozole, he wants to keep me on for one month; recommended taking the Test on Fridays. He said I should have blood work done in one month. I should get tested one week after my last dose of Test to see where the levels are at. Then he will adjust as necessary to meet my needs. For the Anastrozle he said I could take half a pill Mon-Wed-Fri. If I start to notice tenderness in the nipples or if I'm watching TV and suddenly start to tear up, jump on the full tablet twice a week.

So, it looks like I'm making progress in getting off the cookie cutter program. I know Matrix mentioned I should start on a lower doseage and then work my way up. I appreciate the advice and will report back after the next blood results along with the adjusted program.

thanks guys!

 

[The Matrix]

Okay, so my Doc nixed the Glutathione. My Liver ALT is high because I drink, but looked normal.
The MIC with B-12 and the Omega, he said he wasn't real big on, but a lot of his patients like them. He said if I didn't want to take it I didn't have to. Recommended a mulit-vitamin twice a day.

The Test, HCG and Anastrozole, he wants to keep me on for one month; recommended taking the Test on Fridays. He said I should have blood work done in one month. I should get tested one week after my last dose of Test to see where the levels are at. Then he will adjust as necessary to meet my needs. For the Anastrozle he said I could take half a pill Mon-Wed-Fri. If I start to notice tenderness in the nipples or if I'm watching TV and suddenly start to tear up, jump on the full tablet twice a week.

So, it looks like I'm making progress in getting off the cookie cutter program. I know Matrix mentioned I should start on a lower doseage and then work my way up. I appreciate the advice and will report back after the next blood results along with the adjusted program.

thanks guys!

Adex dosage is too high
HCG can be done 2 times a week, other wise risking driving e2 up resulting in needing more adex. When dealing with HRT, less is more and optimize what is there.